35～45岁子宫肌瘤患者术后复发因素及手术方案选择

Recurrence Factors and Operation Scheme Selection of Uterine Fibroids Patients from 35 to 45 Years Old

目的探讨分析35-45岁子宫肌瘤患者术后复发因素及手术方案。方法选取2005年1月—2009年1月收治35-45岁子宫肌瘤患者126例,均行手术治疗,术后随访3~7年,对术后复发情况以及相关因素进行全面统计分析。结果 41-45岁、有生育史、孕产次在2次及以上、肌瘤多发以及术后间隔5年以上患者,出现复发的几率相对更高（P〈0.05）;另外,肌瘤直径、肌瘤类型、手术方式以及是否合并其他妇科疾病与复发无明显相关性。结论 35-45岁子宫肌瘤患者行手术方式治疗时,应明确手术复发的相关因素,以选择合理的手术方案,并严格进行手术,减少术后复发率。

Objective Analysis the recurrence factors and operation scheme selection of uterine fibroids patients from 35 to 45 years old. Methods 126 uterine fibroids patients from 35-45 years old were selected from January 2005 to January 2009, all cured by operation, then statistical comprehensivly and analysis the recurrence and related factors after operation and followed-up 3-7 years. Results The patients of 41-45 years old、reproductie history、motherhood time more than two、fibroids multiple and 5 years after operation had higher risk of recurrence relatively. In addition, fibroids diameter、fibroids type、operation method and whether merger other gynecological disease had no obvious correlation of recurrence. Conclusion The of uterine fibroids patients from 35 to 45 years old be cured by operation should clear the related factors of recurrence, and select reasonable operation scheme, then strictly for operation, for reducing the recurrence rate.